Mrs Amitha Mushyam, MD in Crystal Lake, IL

Mrs Amitha Mushyam, MD is a medicare enrolled "Family Medicine" physician in Crystal Lake, Illinois. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Northwestern Medical Faculty Foundation, Central Dupage Physician Group and her current practice location is 360 Station Dr, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 338-6600.

Mrs Amitha Mushyam is licensed to practice in Illinois (license number 036120455) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972729283.

Contact Information

	Mrs Amitha Mushyam, MD
	360 Station Dr, Crystal Lake, IL 60014
	(815) 338-6600
	(815) 455-8044

Map and Direction

Physician's Profile

Full Name	Mrs Amitha Mushyam
Gender	Female
Speciality	Family Practice
Experience	16 Years
Location	360 Station Dr, Crystal Lake, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Amitha Mushyam graduated from medical school in 2008

NPI Data:

NPI Number: 1972729283
Provider Enumeration Date: 04/17/2007
Last Update Date: 10/19/2018

Medicare PECOS Information:

PECOS PAC ID: 3173679529
Enrollment ID: I20091120000011

Medical Identifiers

Medical identifiers for Mrs Amitha Mushyam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972729283	NPI	-	NPPES
036120455-1	Medicaid	IL
036120455	Other	IL	STATE LICENSE
1972729283	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036120455 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tec Home Health, Llc	Des plaines, IL	Home health agency
Phoenix Home Care, L.l.c.	Burr ridge, IL	Home health agency
Central Dupage Hospital	Winfield, IL	Hospital
Northwestern Medicine Mchenry Hospital	Mchenry, IL	Hospital
Northwestern Lake Forest Hospital	Lake forest, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3352
Central Dupage Physician Group	5890696231	977

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Amitha Mushyam allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

Entity Name	Lake County Acute Care Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861599052 PECOS PAC ID: 5395747281 Enrollment ID: O20070206000313

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amitha Mushyam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Amitha Mushyam, MD 360 Station Dr, Crystal Lake, IL 60014-7978 Ph: (815) 338-6600	Mrs Amitha Mushyam, MD 360 Station Dr, Crystal Lake, IL 60014 Ph: (815) 338-6600

Reviews and Comments

Family Medicine Doctors in Crystal Lake, IL

Haydee Cantu-manley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 Commerce Dr Ste 102, Crystal Lake, IL 60014 Phone: 815-524-2200 Fax: 877-461-6742
Sana Fayyaz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 525 E Congress Pkwy Ste 350, Crystal Lake, IL 60014 Phone: 815-479-7490 Fax: 815-455-2654
Yanbing Li, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-477-9826
Natalie Kostinsky, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-455-8044
Dr. Racquel Norada Ramirez-dolleton V, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 781 Mchenry Ave, Crystal Lake, IL 60014 Phone: 815-459-2200 Fax: 815-459-0556
Dr. Susan R Loring, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Ste 190, Crystal Lake, IL 60014 Phone: 815-444-1966 Fax: 815-444-8699
Dr. Shruti Bahadur, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-455-6000 Fax: 815-356-1104

Mrs Amitha Mushyam, MD - Medicare Family Practice in Crystal Lake, IL